Early recovery program in the radical surgical treatment of patients with prostate cancer: experience of the specialized hospital

Носов, А. К.; Рева, С. А.; Berkut, M.; Петров, С. Б.

doi:10.17650/1726-9776-2016-12-4-60-69

Cited by 3 publications

(5 citation statements)

References 31 publications

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“…However, the long-term indwelling of catheters can lead to various catheter-related problems including urinary tract infections, traumatic injuries of the urethra, bleeding, obstruction, pain, discomfort, and bladder spasms, and all of these adverse effects exert a negative influence on health-related quality of life (39). Recently, several large, high-quality studies have confirmed that early removal of the catheter has no adverse impact on catheter-related complications (40)(41)(42), which is also consistent with the studies included in our meta- analysis (12,(14)(15)(16)(17). Two controversial results need to be discussed specifically.…”

Section: Discussionsupporting

confidence: 86%

“…Several studies have proven that routine drainage tube placement following RP did not confer a significant advantage in terms of postoperative complications (34)(35)(36)(37). In our meta-analysis, three of the included studies described the reduced indwelling time of the pelvic drainage tube and also demonstrated that it was safe (12,14,15).…”

Section: Discussionmentioning

confidence: 75%

“…Many isolated RCTs and controlled clinical trials (CCTs) have tried to address the feasibility and superiority of ERAS/FTS for miRP surgery, yet the outcomes of these trials were inconsistent. For example, some studies have concluded that ERAS/FTS pathways can reduce the LOS (9)(10)(11)(12)(13)(14), while other studies have contradicted this (15)(16)(17). Some research has shown that ERAS/FTS pathways can lower the rates of complications (9,13), but other research did not bear this out (10,12,(14)(15)(16).…”

Section: Introductionmentioning

confidence: 99%

“…For example, some studies have concluded that ERAS/FTS pathways can reduce the LOS (9)(10)(11)(12)(13)(14), while other studies have contradicted this (15)(16)(17). Some research has shown that ERAS/FTS pathways can lower the rates of complications (9,13), but other research did not bear this out (10,12,(14)(15)(16). Some studies have shown that ERAS/FTS pathways could shorten the time of catheter removal (12,15,17), while others did not corroborate these findings (14,16,18).…”

Section: Introductionmentioning

confidence: 99%

“…Some research has shown that ERAS/FTS pathways can lower the rates of complications (9,13), but other research did not bear this out (10,12,(14)(15)(16). Some studies have shown that ERAS/FTS pathways could shorten the time of catheter removal (12,15,17), while others did not corroborate these findings (14,16,18).…”

Section: Introductionmentioning

confidence: 99%

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Impact of enhanced recovery after surgery or fast track surgery pathways in minimally invasive radical prostatectomy: a systematic review and meta-analysis

Lv¹,

Cai²,

Jiang³

et al. 2020

Transl Androl Urol

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Background: The enhanced recovery after surgery (ERAS) and fast track surgery (FTS) protocols have been applied to a variety of surgeries and have been proven to reduce complications, accelerate rehabilitation, and reduce medical costs. However, the effectiveness of these protocols in minimally invasive radical prostatectomy (miRP) is still unclear. Thus, this study aimed to evaluate the impact of ERAS and FTS protocols in miRP.Methods: We searched PubMed, Cochrane Library, Embase, and Web of Science databases to collect randomized and observational studies comparing ERAS/FTS versus conventional care in miRP up to July 1, 2019. After screening for inclusion, data extraction, and quality assessment by two independent reviewers, the meta-analysis was performed with the RevMan 5.3 and STATA 15.1 software. Results were expressed as risk ratio (RR) and weighted mean difference (WMD) with 95% confidence intervals (CIs).Results: In total, 11 studies involving 1,207 patients were included. Pooled data showed that ERAS/FTS was associated with a significant reduction in length of stay (LOS) (WMD: -2.41 days, 95% CI: -4.00 to -0.82 days, P=0.003), time to first anus exhaust (WMD: -0.74 days, 95% CI: -1.14 to -0.34 days, P=0.0003), and lower incidence of postoperative complications (RR: 0.70, 95% CI: 0.53 to 0.92, P=0.01). No significant differences were found between groups for operation time, estimated blood loss, postoperative pain, blood transfusion rate, and readmission rate (P>0.01).Conclusions: Our meta-analysis suggests that the ERAS/FTS protocol is safe and effective in miRP.However, more extensive, long-term, prospective, multicenter follow-up studies, and randomized controlled trials (RCTs) are required to validate our findings.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 75%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Impact of enhanced recovery after surgery or fast track surgery pathways in minimally invasive radical prostatectomy: a systematic review and meta-analysis

Lv¹,

Cai²,

Jiang³

et al. 2020

Transl Androl Urol

View full text Add to dashboard Cite

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Enhanced recovery program in surgical treatment of patients with germ cell tumors of the testicle: experience of a specialized hospital

et al. 2023

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Background. Surgical treatment after chemotherapy is extremely difficult technically and should only be performed in a specialized medical center. The postoperative period after these surgical interventions is aimed not only at minimizing complications, but also at early mobilization and rehabilitation of patients. The principles of fast-track surgery, or ERAS (Enhanсed Recovery After Surgery) significantly reduce the incidence and degree of complications after various surgical interventions. However, the results of studies on the use of fast track in retroperitoneal lymphadenectomies have not yet been presented.Aim. To determine the effect of enhanced recovery program on treatment outcomes in patients with germ cell tumors of the testicle after retroperitoneal lymphadenectomy.Materials and methods. Retrospective analysis of 2 groups of patients (n = 93) treated at the N.N. Petrov National Medical Research Center of Oncology (Saint Petersburg) was performed. In the 1st group of patients, standard postoperative care after retroperitoneal lymphadenectomy was performed; in the 2nd group, fast track elements were used. Since the introduction of the ERAS protocol into clinical practice (September 2017), all patients have been included in the 2nd group.Results. The presence or absence of preoperative preparation did not affect the incidence of intraoperative complications (p = 0.031). There were significant differences in the duration of hospitalization between the 1st and 2nd groups –15.3 and 11.9 days (p = 0.03), respectively. Assessment of the pain syndrome using the Numeric Rating Scale for Pain (NRS) showed that median pain level in the 1st group was significantly higher than in the 2nd group: 5 ± 1.5 and 3 ± 1.7, respectively (p = 0.04), which indicates a more severe and less controlled pain syndrome in the 1st group of patients. The rate of infectious complications in the postoperative wound in the 2nd group was 3 cases versus 13 in the 1st group (p = 0.009). The rate of lymphorrhea in 2nd group was significantly lower (p = 0.003), median drainage duration was higher in 1st group (p <0.05). In the 2nd group, 70.6 % of patients did not require drainage, which was an important factor in rapid rehabilitation.Conclusion. The use of fast-track principles in patients after retroperitoneal lymphadenectomy significantly reduces the incidence of postoperative complications and rehabilitation time.

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Radical prostatectomy in the Russian Federation: features of perioperative management and nuances of technical execution

Gadzhiev,

Rybalchenko,

Dzhalilov

et al. 2023

Onkourologiâ

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Despite constant improvements in radical prostatectomy technique, some questions on standardization of both perioperative management stages and surgical intervention itself remain.We conducted an anonymous online survey of 45 oncological urologists from 15 regions of the Russian Federation who are actively involved in the surgical treatment of patients with prostate cancer.According to the results of the survey, there is huge variability associated, to a great extent, with equipment availability in clinics and the lack of sufficient evidence-based information in some matters of perioperative management.A detailed study of each step of surgical treatment, clinical trials, and involvement of professional societies will contribute to the standardization of perioperative management of patients and radical prostatectomy technique.

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Early recovery program in the radical surgical treatment of patients with prostate cancer: experience of the specialized hospital

Cited by 3 publications

References 31 publications

Impact of enhanced recovery after surgery or fast track surgery pathways in minimally invasive radical prostatectomy: a systematic review and meta-analysis

Impact of enhanced recovery after surgery or fast track surgery pathways in minimally invasive radical prostatectomy: a systematic review and meta-analysis

Enhanced recovery program in surgical treatment of patients with germ cell tumors of the testicle: experience of a specialized hospital

Radical prostatectomy in the Russian Federation: features of perioperative management and nuances of technical execution

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